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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Thyroid Abnormality In A 4 Months Old Child?

my grand son is born by cissarian sectionin 36 weeks of pregnancy.it is secoun child.baby developed jaundice after birth and regressed.after completion of third month the boy developed pneumonia and was treated at dolphin hospital hyderabad as inpatient .the child had constipation,and child could not support head and legs,so in a routeen way thyroid profile wasconducted for both mother and child,mothers thyroid profile was normal,but the boy showed TSH:107,and ft4:0.59, Tc99 pertechnetate thyroid scintigraphy showed :congenital dyshormonogenesis organification defect.,uptake at 20 minutes=9%.and ultrasound scanning of thyroid showed NO SONOGRAPHICAL ABNORMALITY DETECTED.The boy is born on29thsept 2011 and now the boy is four months oldweighing 5kgs.there is mild head lag not bearing weight,umbelical hernia redusable.now the child was advised tabTHYRONORM50mg was started on25thJanuary and now better and child could turn side ways and improving.I want to know whether the child has to be taken to neonatal endocrinologist if so can you suggest neonatal endocrinologist at HYDERABAD. i want to know the prognosis and mental developmental status and chances of cretinisam(Short stature)and the risk factors in future.Kindly answer me. Thanking you Yours faithfully, c.srinivasulu
Mon, 7 Sep 2015
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Pediatrician, Neonatology,  's  Response
Hi,There is no doubt about the diagnosis as your grandson does have hypothyroidism,but luckily the gland is present normally and the defect is such that it can be corrected with horme thyroid tablets .He has to be seen by a pediatric endocrinologist as soon as possible who will monitor the baby clinically and also by hormonal blood tests for at least 3 years at start .#rd month to start treatment is a little bit late ----but if taken good care and monitored regularly and treatment of hormone given meticulously his growth and development should be made near normal.The best place to find help will be standard private hospitals like Appollo hospital initially .I have seen many of the hypothyroid children ,diagnosed a little late like your child do well with replacement .Please remember to do screening for the next baby.
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How To Treat Thyroid Abnormality In A 4 Months Old Child?

Hi,There is no doubt about the diagnosis as your grandson does have hypothyroidism,but luckily the gland is present normally and the defect is such that it can be corrected with horme thyroid tablets .He has to be seen by a pediatric endocrinologist as soon as possible who will monitor the baby clinically and also by hormonal blood tests for at least 3 years at start .#rd month to start treatment is a little bit late ----but if taken good care and monitored regularly and treatment of hormone given meticulously his growth and development should be made near normal.The best place to find help will be standard private hospitals like Appollo hospital initially .I have seen many of the hypothyroid children ,diagnosed a little late like your child do well with replacement .Please remember to do screening for the next baby.